Individual
DR. ELIZABETH ANN FREDERICK-RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, MT. SCOTT MEDICAL OFFICE, CLACKAMAS, OR 97015-9750
(503) 652-2880
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049890
—
OR
Enumeration date
09/12/2006
Last updated
07/11/2007
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